Community Service Plan and Implementation Plan - Plainview Hospital 2019 2021 - Community Service Plan and ...
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Mission Statement for As a member of Northwell Health, Plainview Hospital Plainview Hospital (PL) strives to improve the health and quality of life for the people and communities we serve by providing world-class service and patient-centered care. Who We Are Plainview Hospital is a 204 bed community hospital that provides an array of medical services, including cardiac, neurosciences, pulmonary, hyperbaric and wound care, social work, physical therapy, emergency medicine-level III trauma care, respiratory, orthopaedic and joint replacement. Plainview Hospital’s cardiac services include state-of-the-art cardiac diagnostic services, as well as an innovative program, Early Heart Attack Care (EHAC). The Emergency Department is equipped with the latest technology for inhalant medication administration for the treatment of people with asthma and patients suffering from severe respiratory failure and offers expanded treatment areas and a Fast Track Unit. The total joint replacement program at PL offers a holistic approach to healing, beginning with the preoperative total joint replacement class. Patients learn how to prepare for surgery, what to expect during their hospital stay and how to plan for care after they leave. Plainview Hospital has developed specialized programs for diabetes, hyperbaric and wound care, as well as interventional radiology. 2 Northwell Health | Plainview Hospital Community Service Plan
PRIORITY AREA: Promote Well-Being and Prevent Mental and Prevention Agenda for the Healthiest Substance Use Disorders State 1. FOCUS AREA: Promote Well Being — Strengthen opportunities to build well-being and resilience Plainview Hospital, as part of Northwell Health, utilizes the US across the lifespan Surgeon General’s National Prevention Strategy (NPS) to guide its — Facilitate supportive environments that promote respect and community chronic disease prevention and wellness agenda. dignity for all ages Northwell Health incorporated the NPS Plainview Hospital’s NYSDOH Community Service Plan (CSP) to impact the health of its 2. FOCUS AREA: Prevent Mental and Substance Use Disorders surrounding communities. The strategic directions of the NPS — Prevent opioid and other substance misuse and deaths include: — Reduce Prevalence of major depressive disorders — Healthy and Safe Community Environments The NYSDOH Prevention Agenda Dashboard Improve Heath Status — Clinical and Community Preventative Services and Reduce Health Disparities objective that Northwell will be — Empowered People focusing on is age-adjusted preventable hospitalization rate per — Elimination of Health Disparities 10,000 - Aged 18+ years in addition to a focus on low income populations with health disparities. To improve the health of the community, Northwell Health as a result of the Community Health Needs Assessment (CHNA) process The Community Service Plan focuses on the following areas: and approved by the Committee on Community Health of the — Increasing screening rates for cardiovascular diseases; diabetes; Northwell Health Board of Trustees, has selected the following and breast; and lung cancers especially among populations NYSDOH Priority Agenda Priority Areas, focus areas and goals for experiencing health disparities the service of the health system: — Increasing access to high quality chronic disease preventive care and management in both clinical and community settings PRIORITY AREA: Prevent Chronic Disease — Reducing obesity in children and adults — Reducing illness, disability, and death related to tobacco use and 1. FOCUS AREA: Healthy Eating and Food Security secondhand smoke exposure — Increase access to healthy affordable foods and beverages — Promoting mental health and preventing substance abuse — Increase skills and knowledge to support healthy food and related to tobacco use and secondhand smoke exposure beverage choices — Promoting mental health and preventing substance abuse — Increase food security Examples of interventions that support these areas are: 2. FOCUS AREA: Physical Activity — Robust chronic disease and cancer screening programs — Promote school, childcare and worksite environments that — Implementation of culturally relevant evidence-based chronic support physical activity for people of all ages and abilities disease self-management education — Creation of community environments that promote and support 3. FOCUS AREA: Tobacco Prevention healthy food and beverage choices and physical activity — Prevent initiation of tobacco use, including combustible tobacco — Elimination of exposure to secondhand smoke and prevention of and electronic vaping products (electronic cigarettes and similar the initiation of tobacco use by youth, especially among low devices) by youth and young adults socioeconomic status (SES) populations and the promotion of — Promote tobacco use cessation, especially among populations tobacco cessation, especially among low SES populations and disproportionately affected by tobacco use including low those with poor mental health socioeconomic status SES, frequent mental distress/substance — Strengthened infrastructure to promote mental, emotional and use disorder; LGBTQIA+; and disability behavioral well- being 4. FOCUS AREA: Preventative Care and Management — Increase cancer screening rates for breast, cervical and colorectal cancer — Increase early detection of cardiovascular disease, diabetes, prediabetes and obesity — Promote the use of evidence-based care to manage chronic diseases — Improve self-management skills for individuals with chronic diseases 3 Northwell Health | Plainview Hospital Community Service Plan
Plainview Hospital, through community partnerships and coalition Community Benefit Programs building, has significantly expanded the reach and impact of Community-based programs addressing both health and social community health improvement services that address the NYSDOH needs at Plainview Hospital are the key components of its Prevention Agenda Priorities. Plainview Hospital, also, as part of Community Service Plan. Social determinants of health encompass Northwell Health, provides a broad array of community benefit a range of personal, social, economic, and environmental factors programs, such as: that influence up to 75% of health outcomes. They reach beyond A. Access to Healthcare Services and Caring for the Medically the boundaries of traditional health care to include sectors such as Underserved education, housing, food, employment and environment. The B. Health Professions Education following program descriptions demonstrate the depth and breadth C. Community Health and Wellness of the hospital’s CSP Implementation Plan activities that impact the D. Community Medical Support Services and Programs health and well-being of the communities we serve. E. Support Groups 4 Northwell Health | Plainview Hospital Community Service Plan
A. Access to Healthcare Services and Caring for the Medically Underserved Financial Assistance Program (FAP) Northwell Health is a regional leader in providing financial relief to families who do not have access to the financial resources to pay for medical care. The FAP program was implemented in 2004 through the creation of a standard policy as the result of the combined efforts of the Finance Department, Community Health and the Center for Equity of Care. Developed through a collaboration of senior leadership, community members and key staff, the policy provides a uniformly administered system of reduced fees for uninsured residents of Northwell Health’s service area. All medically necessary services are covered under the program. The program is promoted through: - Multilingual signage throughout facilities - Multilingual educational brochures at key points of patient contact - Website (https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-program) - Community outreach events - Patient bills - All bills include a notice about the FAP, along with the program’s toll-free number, (888) 214-4065 The FAP is available for individuals earning up to five times the federal poverty level ($128,750 for a family of four). In addition, the application process for financial assistance has been redesigned to improve the quality and user-friendliness of the experience. Many FAP requests are now processed via telephone, relieving the patient of the burden of providing current income documentation. Additionally, the FAP application has been simplified to one page. FAP applications are available online in 15 languages at https://www.northwell.edu/billing-and-insurance/financial-assistance-programs-policies/financial-assistance-program. For more information or questions, please call (800) 995-5727. Effective Communication in Healthcare The Center for Equity of Care is a system wide resource and offers numerous educational opportunities to ensure the integration of cultural and linguistic competency into the fabric of the organization. To ensure meaningful access to healthcare services for persons with Limited English Proficiency (LEP) or persons whose preferred language is other than English, free medical interpretation and document translation services are available 24/7. Sign language interpretation services for the deaf and hearing impaired, as well as specific communication tools for visually and speech impaired patients are also available. For more information, please call the Center for Equity of Care at (516) 881-7000. Diversity and Inclusion Diversity and inclusion are identified as essential components for the delivery of quality, safe, patient and family centered care that support principles of equity and community. Aligning with the National Prevention Strategy to eliminate health disparities and empower people in the communities we serve, the Center for Equity of Care implements a system wide educational curriculum and supporting programs. Northwell’s “Unconscious Bias” e-Learning program and seminars raise awareness of unconscious filters and their impact on patient care and the workplace. CultureVision™ is an online cultural diversity resource that provides employees information to develop their cultural knowledge and enhance the delivery of culturally competent patient care. Northwell’s Business Employee Resource Group (BERG) Program enhances employee engagement; talent recruitment, retention and development; and staff serve as community ambassadors. Northwell Health has been named one of the nation's top health systems for diversity, ranking second nationally and No. 1 in New York State, according to the 2019 DiversityInc’s top Hospitals & Health Systems for Diversity list. The lesbian, gay, bisexual, transgender and queer watchdog organization Human Rights Campaign (HRC) Foundation has ranked Northwell Health as the No. 3 health system in the nation and first in New York State based on the number of facilities designated a Leader in LGBTQ Healthcare Equality, according to its 2019 Healthcare Equality Index (HEI). The following hospitals were honored: Cohen Children's Medical Center, Glen Cove Hospital, Huntington Hospital, Mather Hospital, Lenox Hill Hospital, Long Island Jewish Medical Center, LIJ Forest Hills, LIJ Valley Stream, Manhattan Eye Ear and Throat, North Shore University Hospital, Northern Westchester Hospital, Peconic Bay Medical Center, Phelps Hospital, Plainview Hospital, Southside Hospital, South Oaks Hospital, Staten Island University Hospital (North and South campuses), Syosset Hospital, Zucker Hillside Hospital. In addition, the Center for Transgender Care in Great Neck, Feinstein Institutes for Medical Research in Manhasset, Lenox Health Greenwich Village, Orzac Center for Rehabilitation and Stern Family for Rehabilitation each earned the designation. For more information, please contact the Center for Equity of Care at (516) 881-7000. 5 Northwell Health | Plainview Hospital Community Service Plan
The Katz Institute for Women’s Health (KIWH) Resource Center The KIWH is dedicated to improving all aspects of a woman’s health at every stage of her life. The Resource Center offers women seamless, coordinated access to all of Northwell Health’s clinical programs and services across the continuum of care. The Center is staffed Monday through Friday from 9am to 5pm. During off-hours, please leave a voice message and your call will be returned within one business day. For questions related to Women’s Health, please call (855) 850-KIWH (5494). Northwell Health Physician Referral Service (888) 321-DOCS (3627) Northwell Health operates a referral service to help community residents find a perfect local match for their medical needs. Information is available for physician specialties, office locations, languages spoken, hospital privileges, and accepted health insurance plans (including Medicaid and Medicare). Bilingual telephone operators are available 24/7. Information can also be found at www.northwell.edu. MedShare Northwell Health partners with MedShare, an organization that recovers valuable, unused surplus medical supplies and equipment in the United States, which would otherwise be discarded. This partnership successfully bridges the gap between surplus in the U.S. and health care institutions in developing countries, which have a significant need for medical supplies and expertise. Over half of Northwell Health Hospitals and the Integrated Distribution Center provide donations, including beds, biomedical equipment, and other assorted medical supplies. In 2019, Northwell Health donated more than 17,746 pounds of unused medical supplies and 2,261 pounds of medical equipment. Center for Young Adult, Adolescent, and Pediatric HIV The Center for Young Adult, Adolescent, and Pediatric HIV (CYAAPH) at Cohen's Children's Medical Center of New York provides comprehensive medical care and social support services to individuals under the age of 30, regardless of sex assigned at birth, sexual orientation, gender identity and expression. Our expert team provides compassionate medical and psychosocial care to adolescent and young adults, from infancy to age 30, who are HIV-infected. We help manage HIV with expert medical care and medication therapy; STI screening and treatment; immunizations; supportive mental health services; case management services to assist with various social determinants of health; risk reduction and U=U education; gynecological exams; nutrition services; and primary care services. CYAAPH also provides HIV prevention services such as PrEP and PEP for at risk individuals. Housed in CYAAPH is Project inSPECT - an initiative which offers free rapid HIV testing and PrEP screenings all over Nassau and Queens County. Safer sex, LGBTQ 101, and HIV prevention workshops are offered to schools and CBOs to spread awareness of HIV and STI prevention. For more information please call (516) 622-5189. Serving Those Who Have Served Our Nation The recipient of numerous awards for service to veterans, Northwell offers extensive programs to support career education and enhancement, as well as the physical and mental health of those who serve. Barracks to Business workshops, webinars and job fairs help translate military skills into career success and Health NYServes connects veterans to more than 60 service providers. The Rosen Family Wellness Center and the Mildred and Frank Feinberg Division of the Unified Behavioral Health Center for Military Veterans and Their Families are dedicated to enhancing the well-being of military service members, 9/11 first responders, law enforcement personnel and their families. Northwell partners with the Northport Veterans Affairs Medical Center in the VA Women’s Referral Program and with FLAG (Freedom.Loyalty.Admiration.Gratitude) on Staten Island to provide confidential and safe services for women currently serving or who have served in the military. Northwell donated $100,000 to the Stephen Siller Tunnel to Towers Foundation to build a new “smart” home for a disabled veteran. Most recently, The Return brought medical experts at Northwell Health together with aerospace engineers, 3D printing pioneers and prosthetic experts to provide specialized prosthetics to a veteran amputee. 6 Northwell Health | Plainview Hospital Community Service Plan
B. Health Professions Education Graduate Medical Education As a major academic health system in the New York metropolitan area, Northwell Health is dedicated to excellence in patient care, teaching, and research. More than 1,800 residents and fellows are trained each year in over 160 residency and fellowship programs at 23 member hospitals, with access to state-of-the-art simulation and a BioSkills Education Center. Clinical affiliations include Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell, Albert Einstein College of Medicine, SUNY Downstate College of Medicine, New York Medical College, New York University School of Medicine and New York College of Osteopathic Medicine. The Feinstein Institute for Medical Research is among the top ten percent of research institutions that receive funding from the National Institutes of Health. For more information about the individual training programs at Northwell Health, please visit https://www.northwell.edu/research-and-education/graduate-medical-education Donald and Barbara Zucker School of Medicine at Hofstra/ Northwell In 2008, Hofstra University and Northwell Health entered into a formal agreement that established the School of Medicine, the first allopathic medical school in Nassau County and the first new medical school in the New York metropolitan area in more than 35 years. The academic partnership enhanced recruitment of faculty, leadership, and researchers; furthered the expansions of residencies and fellowships; and enhanced the integration of clinical and translational science. Hofstra Northwell School of Graduate Nursing and Health Professions Launched in March 2015, the school is well poised to become a national and global leader in preparing students to meet the growing need for qualified advanced-care nurses and physician assistants who deliver community-based health care. The School offers several options for advanced learning: master’s degrees in family nurse practitioner and adult-gerontology acute care nurse practitioner programs, as well as a master’s degree and a dual bachelor’s/master’s degree program in physician assistant studies. The School expands the successful medical school partnership between Hofstra University and Northwell Health. It incorporates the University’s diverse academic programs and infrastructure, as well as Northwell Health’s significant clinical activities and educational resources, in its mission to provide an innovative inter-professional education to a new generation of healthcare leaders. For further information, please visit the Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies’ website at hofstra.edu/nursing or call (516) 463-7475. Medical Scholars Pipeline Program The Medical Scholars Pipeline Program (MSPP) at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell (SOM) is a three-year academic enrichment program for underrepresented in medicine (URM) students who show potential for pursuing a career in the healthcare professions. The goals of the program are: 1) to expose URM high school students to various careers in the healthcare professions, and 2) to make the students more competitive applicants for undergraduate and professional healthcare programs. The long-term goal of the program is to increase the number of URM students graduating from professional healthcare schools and providing care for patients in underserved communities. The MSPP has been in existence since 2010 and a total of 214 students have been admitted to the program. Of the 214 students admitted to the program, 112 students have completed the three-year program and 100% of the MSPP graduates have enrolled in colleges and universities. Twenty-five URM students who completed our program are now matriculating in professional healthcare programs. This number includes 14 students who are enrolled in medical schools; 4 of whom are matriculating at the Zucker School of Medicine. The MSPP continues to give students exposure to medicine in a medical school setting, college preparation, communication and leadership skills to help them pursue a career in the healthcare professions. For more information, please call (516) 463-7550 or visit the School of Medicine’s website at http://medicine.hofstra.edu. 7 Northwell Health | Plainview Hospital Community Service Plan
SPARK! Challenge Northwell Health is leading the charge on career awareness by partnering with local high schools in Nassau, Suffolk, Queens, Manhattan and Staten Island to participate in the SPARK! Challenge. More than 70 teams of employees across the health system introduced nearly 900 high school students to a wide variety of careers that require competencies in Science, Technology, Engineering and Math skills (STEM). The SPARK! Challenge engages students and showcases both clinical and non-clinical career paths available within healthcare. For more information, please email sparkchallenge@northwell.edu. The Greater New York Hospital Summer Enrichment Program (SEP) Northwell Health participates in the SEP, an internship program for undergraduate and graduate students pursuing a degree or concentration in health services management. Students work with members of Northwell Health leadership to gain firsthand experience in the major issues, skills, and responsibilities involved in day-to-day management of healthcare facilities. The program seeks to promote diversity in healthcare management, and members of underrepresented communities are strongly encouraged to apply. For more information, please contact the Center for Equity of Care at (516) 881-7000. 8 Northwell Health | Plainview Hospital Community Service Plan
Plainview Hospital offers free and low cost health education programs throughout the year on a variety of topics. For more information, please email CommunityRelations@northwell.edu. C. Community Health and Wellness Community Health Programs and FollowMyHealth™ Screenings To help patients take a more active role in their health and Northwell Health provides community residents with free wellness, Northwell Health rolled out a web-based patient health screenings in conjunction with national campaigns portal that allows patients to access their personal health (heart health, blood pressure, prostate cancer, and skin information anywhere and anytime. FollowMyHealth™ is cancer) and throughout the year at educational events, all available to patients who have received care from of which are open to the public. Individuals may be referred Northwell Health hospitals and physician practices. To for follow-up care at Northwell Health. Uninsured access the portal, please visit individuals who require follow-up care can utilize the https://www.northwell.edu/manage-your-care/patient- services of our hospital’s sliding fee scale program, with portal or call (844) FMH-8108. services starting at $0. Northwell Health participates in more than 13,000 community health programs annually. Long Island Health Collaborative (LIHC) Northwell Health is a founding member of the LIHC which Northwell Health Concussion Program was established in 2013. LIHC’s goal is to help Long The Concussion Program at Northwell Health provides Islanders understand why prevention and primary care are advanced concussion management to maximize recovery important, why each patient must play a more active role and return patients to an active lifestyle. We strive to in their own health, what resources and services are achieve the best care for each individual by practicing available here on Long Island, and how these resources and evidence-based guidelines while applying the most current services can be accessed. LIHC is a working group of research breakthroughs in diagnostics, treatments and hospital members, local health department personnel, clinical trials. representatives from social service organizations, public health specialists from colleges, and others who form the The Concussion Program is successful in achieving recovery core of health and human services for all Long Islanders. through interdisciplinary collaboration between physicians, The LIHC focus areas are: obesity, chronic disease and neuropsychologists and therapists. By combining all our mental health. For more information, please contact expertise. Our physician consultation will determine the Community Relations at (631) 396-6700 or visit need for further assessment and treatment with physical https://www.lihealthcollab.org/ therapy, vestibular rehabilitation or neuropsychology by assisting patients returning to their daily activities with return to play, return to work, or return to school activity programs. To learn more about the Concussion Program at Northwell Health please call (855) 510-5110. 9 Northwell Health | Plainview Hospital Community Service Plan
Meals on Wheels The Food and Nutrition Department at PL partners with the Visiting Nurses Association and the National Meals on wheels Association of America Senior Nutrition Program to address the increasing problem of older adult hunger on Long Island, offering regular and specialized nutrition to this vulnerable population. Each day hot and cold meals are provided to at-risk elderly persons in the Plainview community who may not have the resources to access or prepare food due to lack of transportation, functional limitations, or health problems. In 2017, more than 44,000 meals were provided to homebound older adults in the local community. For more information about PL’s Meals on Wheels Program, please call (516) 719-1292. Safe Kids Each year, approximately 3,700 children participate in more than 30 injury prevention/safety education programs sponsored by the New York State, Queens, and Nassau Safe Kids Coalitions, led by Northwell Health. These programs, which encourage kids to be active, have fun, and be safe, are offered in partnership with area schools, Police Benevolent Associations, government, and local businesses. Educational programs cover topics such as water safety, pedestrian/ motor vehicle safety, burn injury prevention, bicycle and sports injury prevention, enhanced “911,” pets and pals, and summer safety. In addition, child car seat check-up stations and special events are held throughout the state and on the campuses of Northwell Health. Please call (516) 881-7000 for more information about the Safe Kids. Stepping On More than one out of four adults aged 65 or older falls each year, leading to both fatal and non-fatal injuries, and threatening safety and independence. Stepping On is an evidence-based community prevention program that empowers independent, older adults to carry out health behaviors that reduce the risks of falls. More than 500 people have attended the 7-week program which is based on adult education and self-efficacy principles. In a small group setting, older adults learn balance and strength exercises and develop specific knowledge and skills to prevent falls. Workshops are facilitated by trained leaders. For more information, please call the Center for Equity of Care at (516) 881-7000. Stop the Bleed Stop the Bleed, an initiative of the American College of Surgeons, was launched in October 2015 by the White House. It’s a national awareness campaign and a call to action intended to educate, train and empower civilian bystanders with the necessary skills and tools to help in a bleeding emergency before professional help arrives. When a response is delayed, massive bleeding from any cause can result in death. Similar to how the general public learns and performs CPR, the public must learn proper bleeding control techniques, including how to use their hands, dressings and tourniquets. Stop the Bleed is available to any organization interested. For free hands-on training, call the Northwell Trauma Institute at (516) 321-8280. Hand Washing Program Hand washing is an easy and effective way to prevent the spread of many types of infection and illness. Donald and Barbara Zucker School of Medicine at Hosftra/Northwell partners with the Plainview-Old Bethpage Central School District to teach children the importance of hand washing. First year medical students’ lead interactive, hands-on sessions with second graders in elementary schools throughout the district. For more information about the Hand Washing Program, please call (516) 463-7531. 10 Northwell Health | Plainview Hospital Community Service Plan
Healthy Food Access The Northwell Health service area contains over 1.5 million food insecure individuals. Increasing access to healthy affordable food improves individual and community health. The Northwell Food as Health Program impacts our patients, communities and employees. Northwell Health partners with local community Farmer’s Markets to bring fresh affordable produce to food deserts and food swamps and increase Supplemental Nutrition Assistance Program benefit redemptions. The health system has begun to implement food insecurity screening and in collaboration with regional food access partners has established hospital-based and community programs providing on site and home delivered emergency food supplies and meals, nutrition education, entitlement enrollment and navigation to community food and social service resources. Northwell Health has also engaged in a Farm to Bedside initiative of increasing local, organic and hormone free meats, chicken, fish, dairy and produce for patient meals as well as launching a comprehensive employee wellness program focusing on Healthy Choice meals, beverages and snacks at all of our facilities. For more information, please contact Community Health at 516-600-1494. Living Healthy Living Healthy, Northwell Health’s Chronic Disease Self-Management Program (CDSMP), is a 6-session, evidence-based health education program for people with any type of ongoing health problems. This program is designed to help people gain self- confidence in their ability to control their symptoms and manage how their health condition affects their lives. To date, 33 programs have been held in English and Spanish, reaching more than 300 community members. For more information, please call Community Relations at (631) 396-6700. 11 Northwell Health | Plainview Hospital Community Service Plan
D. Community Medical Support Services and Programs House Calls Program Northwell Health’s House Calls Program provides home-based care for frail, chronically ill patients who have difficulty getting to their doctor’s office. The program provides advanced illness management, with a variety of services available to them at home and was recently recognized by CMS for success in their Independence at Home Project providing home-based primary care. Clinicians are available to make urgent visits during the week and are available nights and weekends to answer clinical questions from patients and caregivers, or arrange urgent services. In addition, Northwell Health’s community paramedic program provides a 24/7 in the home clinical response with an on-line medical doctor utilizing telemedicine capabilities for at-risk patients requiring urgent care. For more information, please call (516) 876-4100. Blood Donor Services Each year, employees of North Shore University Hospital and Syosset Hospital help to ensure an adequate blood supply for New Yorkers in need by donating blood. In 2019, more than 8,303 pints of whole blood were donated by employees of Northwell Health. American Heart Association (AHA) Training Center The AHA Training Center provides trainings in Basic Life Support (BLS), Pediatric Advanced Life Support (PALS), and Advanced Cardiac Life Support (ACLS) to healthcare professionals who require certification. Additionally, this training site offers numerous (CPR, AED, Emergency First Aid) programs to community members, including schools, faith-based organizations, expectant parents, childcare providers, community children’s sports league volunteers, and the general public. Please call (516) 881-7000 for more information. Public Access Defibrillation Program (PAD) The PAD program is designed to increase the availability of automated external defibrillator (AED) devices in the community as well as empower people within the community to use them through AED/ CPR training and education. The PAD staff assists local organizations with establishing an emergency response that includes the use of an AED, as well as both initial and refresher training in CPR and AED use. For more information, please call (516) 881-7000. 12 Northwell Health | Plainview Hospital Community Service Plan
Center for Tobacco Control (CTC) Northwell Health’s Center for Tobacco Control provides tobacco cessation treatment and support, including individual and group counseling, and support groups, reaching 2,249 individuals in 2019. The CTC received 1,610 referrals from Northwell Health Physician Partner practices. The CTC also provides preventive services to community members and employees, as well as comprehensive evidence-based tobacco dependence treatment education to healthcare providers and healthcare students, educating over 7,386 providers last year. The CTC provides tobacco control educational programs to the community in the form of health fairs, classroom presentations, expos, and other events, reaching more than 9,500 children and adults in 2019. The CTC guides leaders in healthcare organizations to develop policies that mandate tobacco dependence treatment for all tobacco users, in both the inpatient and outpatient settings. Please visit https://www.northwell.edu/doctors-and-care/smoking-cessation, call (516) 466- 1980, or email tobaccocenter@northwell.edu for more information. Gift of Life Currently, almost 114,000 people in the U.S. are awaiting life-saving organs for transplantation. In 2018 36,528 transplants were performed. Each day 20 people will die due to the shortage of donated organs. In an effort to increase organ and tissue donor awareness, Northwell Health hosts annual Gift of Life programs for employees and visitors. Donor families and recipients participate in these events to acknowledge the importance of this need. Northwell Health, in collaboration with the New York Donor Network, provides education throughout the year to the public regarding the importance of organ and tissue donation. For more information, please contact the Northwell Health Transplant Center at (516) 472-5800. Hagedorn Cleft Palate and Craniofacial Center Cleft lip and/or cleft palate is one of the most common birth defects in the U.S., affecting approximately one in 700 babies. The Hagedorn Cleft Palate and craniofacial Center provides comprehensive diagnostic, medical, surgical and emotional care to children with facial clefts or other malformations and their families. Clinic services, cleft palate bottles, support groups and lectures are provided free of charge to all patients. For more information, please visit https://www.northwell.edu/find- care/locations/cleftpalate-craniofacial-center or call (516) 466-2990. Queens World Trade Center (WTC) Health Program Northwell Health is home the Clinical Center of Excellence funded through the James Zadroga 9/11 Health and Compensation Act to provide annual monitoring and treatment for WTC related health effects to 9/11 responders. Eligible members receive confidential physical and mental health monitoring and treatment within the Center and through referrals to the Northwell Health network of providers. In addition to monitoring and treatment examinations, the Center provides outreach and education, social services, benefits counseling, work related benefits counseling, and case management. All WTC Health Program services are federally funded and provided at no cost to responders. For more information, contact the Queens Clinical Center at (718) 267-2420, or the WTC Health Program at (888) 982-4748, or email wtc@cdc.gov or visit www.cdc.gov/wtc 13 Northwell Health | Plainview Hospital Community Service Plan
E. Support Groups Support groups offer people with similar medical conditions and life challenges an opportunity for discussion, a sharing of experience and knowledge, and a place to ask questions. Plainview Hospital provides free, ongoing support groups for the community in the following areas: ALS (amyotrophic lateral sclerosis), diabetes, cancer, bereavement, including mood disorders, mental health, weight management, lupus, stroke and support for parents who have lost a child. To learn more about support groups at PL, please call (516) 719-2570 or visit our website at www.northwell.edu/community. 14 Northwell Health | Plainview Hospital Community Service Plan
F. Implementation Plan Community Served: Nassau County Nassau County NYS DOH Implementation Plan for the following hospitals: Glen Cove Hospital, LIJ Valley Stream Hospital, North Shore University Hospital, Plainview Hospital in coordination with other Health System resources, including other partners, has addressed each significant health need identified through the Nassau County CHNA report The CHNA Implementation Strategy was conducted in fulfillment of the requirements of 501(r) of the The Affordable Care Act applicable to a 501(c)(3) hospital organization Priority: Prevent Chronic Diseases Focus Area: Healthy Eating and Food Security; Tobacco Prevention; Physical Activity; Preventative Care and Management Disparities: Focus on low income populations with health disparities Northwell Hospital Goal Focus Area Objectives Interventions Family of Measures Glen Cove, LIJ Valley Goal 1.1 Increase access to healthy By December 31, 2021, increase the number of employees Adopt policies and implement practices to reduce HR Employee Wellness Pledge data; Stream, NSUH, and and affordable foods and beverages pledging to complete health risk assessments and viewing (over) consumption of sugary drinks by implementing employee wellness program engagement; Plainview wellness videos by 10%. By December 31, 2021, increase the worksite wellness programs including nutrition and vending audits; fresh produce access; policy number of healthy food and beverage vending items by 10%. By physical activity interventions as part of a and built environment changes December 31, 2021, increase the number of fresh produce access comprehensive worksite wellness program. sites for patients, visitors and employees by 15%. Components include: Educating and informing through classes, distributing written information or utilizing educational software; Conducting activities that target thoughts and social factors to influence behavior change. Examples include individual or group behavioral counseling, skill-building activities, providing rewards, and building support systems among co-workers and family members; and changing physical or organizational structures that reach the entire workforce and make the healthy choice the easy choice. Examples include changing the options in cafeterias or vending machines; providing more opportunities for physical activity; modifying health insurance benefits; or offering memberships to health clubs. 15 Northwell Health | Plainview Hospital Community Service Plan
Northwell Hospital Goal Focus Area Objectives Interventions Family of Measures Glen Cove, LIJ Valley Goal 1.3 Increase food security By December 31, 2021, increase inpatient food security screening Integrate one of the Hunger Vital Sign Screening EMR Screening: Food Security Screening rates; Stream, NSUH, Plainview by 25% through EMR integration of screens into provider questions into system inpatient enterprise EMR as part Food Insecurity Prevalence; Referrals to workflows. of admission workflows, identify food insecure providers and Community Resources. Food As patients and refer to appropriate health system staff Health(FAH): Food Security Screening rates ; By December 31, 2021, increase Food As Health Program to 3 and facilitate and actively support referral to Food Insecurity Prevalence; Referrals to sites. community food resources. hospital providers, On-site FAH CBO Registered Dietitian, Community CBO ( i.e. Launch Food As Health Programs which are a hospital- Local Food Bank Home Delivery Partner) and community partnership among LI Harvest and Gods referrals to Medically Tailored Home Delivery Love We Deliver that screens inpatients for food Partner ( i.e. God's Love We Deliver) and security and provides onsite emergency food, nutrition Community Food Resources (i.e. local food counseling, SNAP enrollment and community social pantries); Pounds of fresh produce and non- service navigation in addition to home-based perishables distributed at FAH Center; SNAP interventions for non-ambulatory patients with applications completed; referrals to non-food nutrition related diagnosis (i.e. diabetes, hypertension, related community social services; Post FAH and unintended weight loss). Engagement Food Security Status, food procurement and eating behavior changes Glen Cove, LIJ Valley Goal 1.3 Increase food security By December 31, 2021, increase hospital food donations and Cohen Children's Medical Center Kohl's Cares Program Number of school districts, schools and Stream, NSUH, Plainview rescue by 25% in partnership with local food community based support of Island Harvest's Kids Weekend Backpack children enrolled; number of meals and organizations. Feeding Program. Suffolk and Nassau County schools in snacks distributed; impact on local Island areas with increased prevalence of food insecurity Harvest Feeding America Child Hunger partner with Island Harvest and Cohen's Children's Statistics Medical Center to implement the program at their school. Children are assessed and referred to the program by the school social worker and each Friday afternoon, students receive our special food packs, free of charge, to take home during the weekend. 16 Northwell Health | Plainview Hospital Community Service Plan
Northwell Hospital Goal Focus Area Objectives Interventions Family of Measures Glen Cove, LIJ Valley Goal 1.3 Increase food security By December 31, 2021, increase employee food drives by 10%. Establish a partnership with food banks to organize Track # food drives, sites and pounds of food Stream, NSUH, Plainview Northwell Health Healthy Food Drives to supply foods donated; track CBO food partner food needed for client modified diets utilizing an online CBO insecurity/hunger measures portal to improve efficiency, access and evaluation of program. LIJ Valley Stream, NSUH Goal 1.1 Increase access to healthy By December 31, 2021 support existing and increase Healthy Cohen Children's Medical Center Kohl's Cares Program Healthy Corner Store Initiatives Measures and affordable foods and beverages Corner Stores in communities with health disparities and lack of in partnership with Cornell Cooperative Extension of access to affordable health foods by 33%. Suffolk County will support of existing Healthy Corner Stores in Roosevelt and expand initiative to Suffolk County. Glen Cove, LIJ Valley Goal 3.1 Prevent initiation of tobacco To increase by 10% the educational activities regarding the Use media and health communications to highlight the Amount and type of earned media; amount Stream, Plainview use dangers of tobacco use and vaping in the community to prevent dangers of tobacco, promote effective tobacco control and type of Northwell community awareness youth tobacco use. policies and reshape social norms. Decrease youth use events and media; change in participant and availability of flavored tobacco products including knowledge/behaviors; policy/legislation menthol flavors used in combustible and non- created combustible tobacco products and flavored liquids including menthol used in electronic vapor products through community education. Glen Cove, LIJ Valley Goal 2.2 Promote school, child care By December 31, 2021, increase the number of Northwell Northwell Health system-wide Walking Challenges. # teams; # individuals;# steps/miles; Stream, NSUH, Plainview and worksite environments that employees engaged in worksite wellness physical activity participant platform engagement metrics increase physical activity initiatives by 10%. 17 Northwell Health | Plainview Hospital Community Service Plan
Northwell Hospital Goal Focus Area Objectives Interventions Family of Measures Glen Cove, LIJ Valley Goal 2.3 Increase access, for people of By December 31, 2021, increase in Stepping On falls prevention Deliver community Stepping On Programs. # Programs; # participants Stream, NSUH, Plainview all ages and abilities, to indoor program focusing on daily strength and balance exercises and/or outdoor places for physical delivered by Northwell Health STARS Rehabilitation and Northwell activity Trauma Centers participation by 10%. Glen Cove, NSUH Goal 4.2 Increase early detection of By December 31, 2021 increase community access to community Evidence-based guideline chronic disease community # screenings; types of screenings; # cardiovascular disease, diabetes, chronic disease screening rates especially in areas with increased screenings, health education and referrals to care. screenings in communities with health prediabetes and obesity prevalence of health disparities by 5%. disparities; # referrals to care Glen Cove, LIJ Valley Goal 2.3 Increase access, for people of By December 31, 2021, increase Long Island Health Collaborative Are You Ready, Feet?™ walking program. # screenings; types of screenings; # Stream, NSUH, Plainview all ages and abilities, to indoor Ready Feet Platform activity by 10%. screenings in communities with health and/or outdoor places for physical disparities; # referrals to care activity Glen Cove, LIJ Valley Goal 2.3 Increase access, for people of By December 31, 2021, increase Long Island Health Collaborative Are You Ready, Feet? ™ walking program. School based Challenges: Number of schools Stream, NSUH, Plainview all ages and abilities, to indoor Ready Feet Platform activity by 10%. and children participating; number of total and/or outdoor places for physical steps walked; Community Participation: # activity community member accounts, # miles logged; total logs (activity) 18 Northwell Health | Plainview Hospital Community Service Plan
Northwell Hospital Goal Focus Area Objectives Interventions Family of Measures Glen Cove, LIJ Valley Goal 4.3 Promote evidence-based By December 31, 2021 increase the Northwell Health Integrate 15 social determinant of health questions into system # Screenings; # unique individuals Stream, NSUH, Plainview care to prevent and manage chronic enterprise social determinant of health screening and inpatient enterprise EMR as part of admission workflows, identify screened; #/% individuals 1> positive diseases including asthma, arthritis, community resource navigation using EMRs and community patients with needs and refer to appropriate health system staff and needs; types and prevalence of cardiovascular disease, diabetes and social service resource bi-directional referrals by 25%. facilitate and actively support referral to community resources. Pilot needs; types and providers of service prediabetes and obesity NOWPOW community social determinants of health resource referrals platform with bi-directional health system and CBO referrals. NSUH, Plainview Goal 4.1 Increase cancer screening By December 31, 2021 increase Northwell Health cancer Plainview, Syosset, Southside and Huntington Hospitals offer skin # sites; # dispensers; # participants; rates screening by 5% through the utilization of technology and cancer prevention/free sunscreen dispensers/ skin cancer screening number of screenings; # positive community and mobile screenings. in non-clinical settings in partnership with local parks and recreation screenings; # referrals departments and other organizations. Glen Cove, LIJ Valley Goal 4.3 Promote evidence-based Increase program engagement by 10% by December 31, 2021. Automatic texting application that empowers patients to manage Program adoption of technology, Stream, NSUH, Plainview care to prevent and manage chronic their post-discharge care. The application enhances patient enrollment, patient usage data (i.e. diseases including asthma, arthritis, experience and extends the reach of our transitional care team number of meaningful patient cardiovascular disease, diabetes and outside of the hospital. Since the launch in April 2018, Conversa has interactions) and future measure of prediabetes and obesity been utilized in Health Solutions’ nine transitional care programs health impact which include Medicare, Medicaid, and commercial payer populations. Patients are provided an opportunity to enroll in six diagnosis or procedure specific modules, Acute Myocardial Infarction (AMI), Heart Failure (HF), Pneumonia (PNA), Chronic Obstructive Pulmonary Disease (COPD), Stroke, and Coronary Artery Bypass Graft (CABG) with the choice between two languages, English or Spanish. Patients who are not discharged with any of these specific measures, with exception to patients who have received joint replacements, can receive a Generic conversation. Health Solutions has enrolled a total of 3,900 patients on Conversa, increasing the number of meaningful patient interactions from 5.3 to 10.8. Compared to 2018, there has been a 158% increase in total enrollments in 2019 YTD, averaging 275 new enrollments every month. Health Solutions is aiming to expand Conversa for Medicare & Medicaid joint patients in the first quarter of 2020. 19 Northwell Health | Plainview Hospital Community Service Plan
Northwell Hospital Goal Focus Area Objectives Interventions Family of Measures Glen Cove, LIJ Valley Use media such as social media, Increase media awareness channels and community reach by Northwell Health media channels that provide health information Northwell Health media tracking: Stream, NSUH videos, printed materials (letters, 10% by December 31, 2021. on chronic disease management and prevention. articles; potential reach. brochures, newsletters) and health Northwell Health Newsroom traffic: communications to build public Avg. Page Views per month. awareness and demand Northwell Publications: circulation. Northwell Social Followers: Facebook; LinkedIn; Twitter; Instagram; YouTube Glen Cove, LIJ Valley Goal 3.2 Promote tobacco use By December 31, 2021, increase provider compliance with Assist medical and behavioral health care organizations and Track # of trainings, sites, Stream, NSUH, Plainview cessation 5A’s (chart December review) tobacco cessation counseling by provider groups in establishing policies, procedures and workflows participants and policy changes. 10%. to facilitate the delivery of tobacco dependence treatment, Track Grand Rounds - increase in By December 31, 2021, increase in volume of electronic consistent with the Public Health Service Clinical Practice Guidelines, knowledge & intent to change medical record for tobacco counseling by 10%. with a focus on primary care providers providing care to low income behavior. Track # Protocols By December 31, 2021, increase in number of tobacco populations and behavioral health providers. Promote Medicaid and integrated into provider practice. cessation trained providers’ especially behavioral health other health plan coverage benefits for tobacco dependence Track annual provider practice providers by 10%. counseling and medications. Provide improved access to cessation specific EMR tobacco use screening, resources through online programs with Eventbrite registration and counseling and referral data. Survey reminders, telehealth, phone coaching and EMR cessation referrals. of participants’ satisfaction with program, knowledge, and intent to change practice behavior. Track # of trainings. Track telehealth, online and Eventbrite usage. Track # planning meetings scheduled to discuss curriculum 20 Northwell Health | Plainview Hospital Community Service Plan
Community Served: Nassau County NYS DOH Implementation Plan for the following hospitals: Glen Cove Hospital, LIJ Valley Stream Hospital, North Shore University Hospital, Plainview Hospital in coordination with other Health System resources, including other partners, has addressed each significant health need identified through the Nassau County CHNA report The CHNA Implementation Strategy was conducted in fulfillment of the requirements of 501(r) of the The Affordable Care Act applicable to a 501(c)(3) hospital organization Priority: Promote Well-Being and Prevent Mental and Substance Use Disorders Focus Area: Promote Well-Being and Prevent Mental and Substance Use Disorders Disparities: Focus on low income populations with health disparities Northwell Hospital Goal Focus Area Objectives Interventions Family of Measures Glen Cove, LIJ Valley Goal 1.1: Strengthen opportunities By December 31, 2021, Develop and begin to Democracy Collaborative Healthcare Anchor Network and ACEND Establishment of Anchor Strategy Plan ; Stream, Plainview to build well-being and resilience implement Northwell Health anchor institution Partnership -Build community wealth: Approaches include creating ACEND Metrics: Gross Revenue 2018 across the lifespan strategies. and supporting inclusive, healthy public spaces, using the power of Gross Revenues 2019 (Projected) anchor institutions such as hospitals to revitalize neighborhoods, Net Revenues 2018 supporting democratically operated worker cooperatives, Net Revenues 2019 (Projected) reemployment and supported employment. Profitability in 2018 Profitability in 2019 # of Full Time Employees (FTE) in 2018 # of FTE Retained in 2019 # of Jobs Created in 2019 Debt/Equity Pending Debt/Equity Secured # of RFPs submitted in 2019 # of contracts secured in 2019 Glen Cove, LIJ Valley Goal 1.1: Strengthen opportunities By December 31, 2021, increase by 10% the "From the Community For the Community"- a healthcare workforce # Applicants, # participants enrolled, # Stream, NSUH, Plainview to build well-being and resilience employees participating in enterprise local hiring development program. Committed to improving an individual’s total participants completed program, # across the lifespan initiatives. health, this program trains job seekers from communities with health participants hired, # and type of training and disparities and connects them with entry-level healthcare and social employment sites; participant career service positions as Community Health Workers (CHW). ABLE BERG - progression Northwell local hiring initiative for people with Autism Spectrum Disorders; Veteran's Hiring Initiative - Northwell initiative to recruit and hire veterans have an interest in promoting supports for Caregiving both within Northwell and in the community. 21 Northwell Health | Plainview Hospital Community Service Plan
Northwell Hospital Goal Focus Area Objectives Interventions Family of Measures Glen Cove, LIJ Valley Goal 1.1: Strengthen opportunities to By December 31, 2021 increase number of caregiving center The nationally recognized Northern Westchester Hospital Caregiver Centers: # visitors, # and type of Stream, NSUH build well-being and resilience across by 33% and form enterprise Caregiver Business Employee Ken Hamilton Caregivers Center is open to all community resources accessed or navigated to; visitor the lifespan Resource Group. members regardless of where they receive care and is feedback of center staffed by social workers and caregiver coaches. The Center provides counseling for caregivers, navigation to community resources, workspace, nourishment and a space for caregiver respite. The Center also assists other organizations outside of Northwell Health to establish similar models. The Northwell Peconic Bay Medical Center Caregivers Center and Huntington Hospital Caregivers Center modeled after the Ken Hamilton Center in Westchester County opened in 2019. Northwell Caregivers Business Employee Resource Group is an enterprise network for employees who have an interest in promoting supports for Caregiving both within Northwell and in the community. Glen Cove, LIJ Valley Goal 2.2 Prevent opioid overdose By December 31, 2021 increase by 25% the access to and Naloxone Saturation Campaign (NAL-SAT) is available in all # trainings; # participants; participant Stream, NSUH, Plainview deaths appropriate use of NAL-SAT and MAT in the ED for patients. 18 Northwell emergency departments and 5 primary care evaluations practices, NAL-SAT is an Opioid Overdose Program which provides an education on prevention, recognition, response and a Naloxone rescue kits free to patients, family friends and staff. Medication for Addiction Treatment (MAT) is currently offered to patients in 1 of the 6 learning laboratories in the health system- 4 emergency departments, 1 primary care practice, and 1 inpatient unit. Medications include those such as Buprenorphine in combination with psychosocial support provided by one of our Northwell Health treatment facilities. Glen Cove, LIJ Valley Goal 2.2 Prevent opioid overdose By December 31, 2021 increase the number of provider Promote and encourage prescriber education and familiarity #trainings; # participants; participant Stream, NSUH, Plainview deaths opioid and alternative pain management trainings by 10%. with opioid prescribing guidelines and limits as imposed by evaluations; system opioid prescription data NYS statutes and regulations through Northwell Opioid Task Force. 22 Northwell Health | Plainview Hospital Community Service Plan
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